Skip to main content
Log in

Pulsed Doppler sonography as an aid in ultrasound-guided aspiration biopsy

  • Published:
Gastrointestinal Radiology Aims and scope Submit manuscript

Abstract

Six cases demonstrating the utility of pulsed Doppler sonography as an aid in avoiding complications of aspiration and biopsy are presented. Duplex sonography combined with ultrasound needle guidance was helpful in identifying the vascular nature of masses in 3 cases and positively identifying and avoiding vascular structures within the needle path in 3 cases. The selective use of duplex sonography prior to aspiration biopsy provides information that should serve to minimize further the risks of hemorrhage associated with modern biopsy techniques.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Buonocore E, Skipper GJ: Steerable real-time sonographically guided needle biopsy.AJR 136:387–392, 1981

    Google Scholar 

  2. McGahan JP: Laboratory assessment of ultrasonic needle and catheter visualization.J Ultrasound Med 5:373–377, 1986

    Google Scholar 

  3. McGahan JP: Aspiration and drainage procedures in the intensive care unit: percutaneous sonographic guidance.Radiology 154:531–532, 1985

    Google Scholar 

  4. Otto R, Deyhle P: Guided puncture under real-time sonographic control.Radiology 134:784–785, 1980

    Google Scholar 

  5. Fell G, Phillips DJ, Chikos PM, Harley JD, Thiele BL, Strandness DE: Ultrasonic duplex scanning for disease of the carotid artery.Circulation 64:1191–1195, 1981

    Google Scholar 

  6. Berland L, Lawson T, Adams M, Melrose BL, Foley WD: Evaluation of renal transplants with pulsed doppler duplex sonography.J Ultrasound Med 1:215–222, 1982

    Google Scholar 

  7. Jaques PF, Richey WA, Ely CA: Doppler ultrasonic screening prior to venography for deep venous thrombosis.Am J Roentgenol 129:451–452, 1977

    Google Scholar 

  8. Berland L, Lawson T, Foley W: Porta hepatis: sonographic discrimination of bile ducts from arteries with pulsed doppler with new anatomic criteria.AJR 138:833–840, 1982

    Google Scholar 

  9. Miller V, Berland L: Pulsed doppler duplex sonography and CT of portal vein thrombosis.AJR 145:73–76, 1985

    Google Scholar 

  10. Terry R: Risk of needle biopsy of the liver.Br Med J 1:1102–1105, 1972

    Google Scholar 

  11. Gray WC: A comparison of conventional needle and fine needle aspiration of liver biopsies.J Indiana State Med Assoc 1976:453–454, 1983

    Google Scholar 

  12. Holm H, Pederson J, Kristensen J, Rasmussen SN, Hancke S, Jensen F: Ultrasonically guided percutaneous puncture.Radiol Clin North Am 13:493–503, 1975

    Google Scholar 

  13. Grant E, Richardson J, Smirniotopoulos J, Jacobs N: Fine needle biopsy directed by real-time sonography: technique and accuracy.AJR 141:29–32, 1983

    Google Scholar 

  14. Yeh H: Percutaneous fine needle aspiration biopsy of intra-abdominal lesions with ultrasound guidance.Am J Gastroenterol 75:148–152, 1981

    Google Scholar 

  15. Yankaskas B, Staab E, Craven MB, Blatt PM, Sokhandon M, Carney CN: Delayed complications from fine-needle biopsies of solid masses of the abdomen.Invest Radiol 21:325–328, 1986

    Google Scholar 

  16. Husband JE, Golding SJ: The role of computed tomography-guided needle biopsy in an oncology service.Clin Radiol 34:255–260, 1983

    Google Scholar 

  17. Ohto M, Karasawa E, Tsuchiya Y, Kimura K, Saisho H, Ono T, Okuda K: Ultrasonically guided percutaneous contrast medium injection and aspiration biopsy using a real-time puncture transducer.Radiology 136:171–176, 1980

    Google Scholar 

  18. Pelaez JC, Hill MC, Dach JL, Isikoff MB, Morse B: Abdominal aspiration biopsies sonographic v. computed tomographic guidance.JAMA 250:2663–2666, 1983

    Google Scholar 

  19. Wittenberg J, Mueller PR, Ferrucci JT, Taylor KJW, Atkinsin P, deGraaff CS, Dembner AG, Rosenfield AT: Percutaneous core biopsy of abdominal tumors using 22 gauge needles: further observations.AJR 139:75–80, 1982

    Google Scholar 

  20. Zornoza J: Needle biopsy of metastases.Radiol Clin North Am 20:569–590, 1982

    Google Scholar 

  21. Taylor K, Atkinson P, deGraaff CS, Wittenberg J, Mueller PR, Ferrucci JT Jr, Simeone JF, van Sonnenberg E, Neff CC, Palermo RA, Isler RJ: Clinical evaluation of pulsed-doppler device linked to gray scale B-scan equipment.Radiology 129:745–749, 1978

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

McGahan, J.P., Anderson, M.W. Pulsed Doppler sonography as an aid in ultrasound-guided aspiration biopsy. Gastrointest Radiol 12, 279–284 (1987). https://doi.org/10.1007/BF01885162

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01885162

Key words

Navigation